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ICER Study On Coverage 'Fairness' Could Inform Manufacturer Pricing vs Benefit Design Debate

 
• By Cathy Kelly

Study will look at prior authorization, step therapy and required medication switching for drugs considered to be reasonably priced.

ICER 'Fair Access' Study Will Focus On Prior Authorization Requirements

The Institute for Clinical and Economic Review will examine coverage policies for more than two dozen drugs in the largest formularies of the leading commercial payers in the US to determine whether the plans are providing “fair” access to the treatments.

The evaluation will focus on the prior authorization policies for drugs priced within “reasonable” cost effectiveness ranges, as determined by ICER. A report on the evaluation, which will become a yearly exercise, is scheduled to be issued in October. ICER released its

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Industry Leaders Grapple With Trump’s Most Favored Nation Pricing Plan

 
• By Jessica Merrill

At the Bank of America health care conference, pharma leaders speculated on the impact of Trump’s most favored nation pricing executive order on US and European markets.

Most Favored Nation Policy ‘Lazy, Misguided,’ But US Price Reforms Politically ‘Inevitable’

 
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Policy experts and pharma executives react to President Trump’s executive order on “equalizing” drug prices between the US and comparable nations at the ISPOR 2025 conference.

EU HTA Regulation: How Rare Disease Drug Makers Can Meet Worrisome JCAs Data Requirements

 
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New Guidance Suggests SubQ Keytruda, Opdivo Formulations May Not Avoid Medicare Negotiations

 
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New draft guidance on the third cycle of Medicare drug price negotiations goes against Merck and BMS expectations for their cancer drugs. The guidance also tackles Part B and renegotiated prices for the first time.

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Few Takers For EMA’s OPEN Pathway Prompts Rethink

 
• By Vibha Sharma

While drug companies say they support the European Medicines Agency’s expanded OPEN framework for the collaborative assessment of marketing applications with non-EU authorities, they are reluctant to participate in the initiative for a number of reasons.

EU Council Could Adopt Pharma Reform Package Next Week, But Disputes Risk A Year’s Delay

 
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The Council of the EU wants to adopt its negotiating position on the reform of the general pharmaceutical legislation “sooner, rather than later,” but divergence between member states could push negotiations back another year, a European Commission policy officer said today.

EU HTA Regulation: How Rare Disease Drug Makers Can Meet Worrisome JCAs Data Requirements

 
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